Esophagogastroduodenoscopy in Sick Pediatric Patients: Deep Sedation VS General Anesthesia
What is it about?
To compare and evaluate the clinical efficacy of deep sedation and general anesthesia for esophagogastroduodenoscopy (EGD) in sick pediatric patients (ASA physical status ≥ III) in a tertiary care teaching hospital in Thailand.
Why is it important?
101 sick patients underwent EGD procedure during the study period. Premedications were none prior to the procedure. After matching age, gender, weight and indications of procedures, there were 51 patients in group DS and 27 patients in group GA. There were no significant differences in age, gender, weight, ASA physical status and indications of procedures. However, the duration of anesthesia in group GA was significantly longer than in group DS (p= 0.004).All DS and GA techniques were used successfully in all but one in group DS. Mean dose of propofol and fentanyl in both groups was comparable. Overall complication rate in group DS was significantly higher than in group GA (p= 0.039). However, there were no significant differences in the sedation and procedure related complications, anesthetic personnel and mortality rate.
The following have contributed to this page: Somchai Amornyotin